Sudden Cardiac Death in the Young: A Strategy for Prevention by Targeted Evaluation

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The annual incidence of sudden cardiac death (SCD) in
the general population is estimated as 1 in a 1,000. Since
survival rates from out-of-hospital cardiac arrests are
poor, primary prevention is key to reducing the burden
of SCD in the community. Prominent causes of SCD include
ischaemic heart disease, anomalous coronary arteries,
and the primary myocardial diseases: hypertrophic
cardiomyopathy, dilated cardiomyopathy, and ar –
rhythmogenic right ventricular cardiomyopathy (ARVC).
In 4% of sudden deaths in the 16–64 age group, postmortem
examination fails to identify a cause, yielding a
default diagnosis of sudden arrhythmic death syndrome
(SADS).

Sudden death

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